Health Care Providers’ Acceptance of a Personal Health Record: Cross-sectional Study

Abstract

Background Personal health records (PHRs) are eHealth tools designed to support patient engagement, patient empowerment, and patient- and person-centered care. Endorsement of a PHR by health care providers (HCPs) facilitates patient acceptance. As health care organizations in the Kingdom of Saudi Arabia begin to adopt PHRs, understanding the perspectives of HCPs is important because it can influence patient adoption. However, no studies evaluated HCPs’ acceptance of PHRs in the Kingdom of Saudi Arabia. Objective The aim of this study was to identify predictors of HCPs’ acceptance of PHRs using behavioral intention to recommend as a proxy for adoption. Methods This cross-sectional study was conducted among HCPs (physicians, pharmacists, nurses, technicians, others) utilizing a survey based on the Unified Theory of Acceptance and Use of Technology. The main theory constructs of performance expectancy, effort expectancy, social influence, facilitating conditions, and positive attitude were considered independent variables. Behavioral intention was the dependent variable. Age, years of experience, and professional role were tested as moderators between the main theory constructs and behavioral intention using partial least squares structural equation modeling. Results Of the 291 participants, 246 were included in the final analysis. Behavioral intention to support PHR use among patients was significantly influenced by performance expectancy (β=.17, P=.03) and attitude (β=.61, P<.01). No moderating effects were present. Conclusions This study identified performance expectancy and attitude as predictors of HCPs’ behavioral intention to recommend PHR to patients. To encourage HCPs to endorse PHRs, health care organizations should involve HCPs in the implementation and provide training on the features available as well as expected benefits. Future studies should be conducted in other contexts and include other potential predictors.

Predicting healthcare professionals’ acceptance towards electronic personal health record systems in a resource-limited setting: using modified technology acceptance model

“…This result is consistent with findings from related studies conducted in other settings. 1 24 25 This may be due to the fact that new systems may irritate medical professionals who have a fixed, favourable opinion of ePHR systems. The availability of computers at work, continuing training and support, and knowledge sharing about eHealth technology are examples of actions that might be prioritised in order to change attitudes.…”

“…Over the past decades, a variety of eHealth technologies have been accessible as nations have implemented eHealth efforts to support the objectives for health education and person-centred care. 1 Adoption of personal health records (PHRs) has been linked to numerous advantages, including improved patient–provider relationships, patient engagement improvements, better medication adherence, good health outcomes (such as blood pressure and glycaemic management) and higher organisational efficiencies. 2 Even though PHRs are intended to be consumer-oriented tools, simply understanding the consumer’s perspective is not enough.…”

Enhancing Nurse–Robot Engagement: Two-Wave Survey Study

“…Attitude is an overall evaluation of an object [ 21 ]. A positive attitude reflects positive feelings and expectations when approaching this object [ 22 ], motivating users’ engagement, particularly in using new technologies [ 23 ]. According to reinforcement theory, when individuals observed that pleasurable consequences would follow, they are more likely to engage in a behavior [ 24 ].…”

Nurses’ Perspectives on an Electronic Medication Administration Record in Home Health Care: Qualitative Interview Study

“…However, despite its many affordances, many implementations of eHealth services fail [ 9 - 11 ]. This might be because of resistance among health care workers [ 12 ], who correlate eHealth with threats to essential care values, fear of lost power, and professional integrity [ 13 ]. In a similar manner, eHealth can be experienced by health care professionals as taking focus from patient-centered meetings [ 14 - 16 ] and contributing to an increased amount of documentation and standardization of tasks, with lower staff influence as a result [ 17 ].…”